# PIONEER VISION PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831320837
- **Authorized official:** DR. BRIAN FELL OD (OWNER/THERAPEUTIC OPTOMETRIST)
- **Authorized official phone:** (512) 388-7600

## Contact information

- **Practice address:** 4010 SANDY BROOK DR, SUITE 101, ROUND ROCK, TX 78665-1512
- **Practice address phone:** (512) 388-7600
- **Practice address fax:** (512) 388-7601
- **Mailing address:** 4010 SANDY BROOK DR, SUITE 101, ROUND ROCK, TX 78665-1512
- **Mailing address phone:** (512) 388-7600
- **Mailing address fax:** (512) 388-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 6782TG | TX | Yes |

## Other

- **Enumeration date:** 08/07/2009
- **Last updated:** 08/07/2009